Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name:
Supplier: IAR No.: __________________
PO No./Date: Date:_____________________
Requisitioning Officer/Dept.: Invoice No.: 35968
Responsibility Center Code: Date: 09/29/2023

Stock/ Description Unit Quantity

Property No.
1 Wall Mounted AC Unit PCS 1
2 Person Cubicle PCS 1
3 Executive Chair PCS 1
4 Clerical Table OD-01 PCS 1
5 Clerical Table OD-03 PCS 1

INSPECTION ACCEPTANCE
Date Inspected: _____________________ Date Received:________

Complete
Inspected, verified and found in order as to
quantity and specifications. Partial (pls. Specify Quantity

MOHAMMAD HUSAIN H. UKO IZRAFIL U. ZAINAL

Administrative Assistant I Chief, Supply Section
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